The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED AMENDMENT

20 CSR 2150-5.025
Administration of Vaccines [Per Protocol]
This proposed amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
September 15, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Healing Arts

EMERGENCY AMENDMENT

20 CSR 2150-5.025
Administration of Vaccines [Per Protocol]
This emergency amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the time the emergency is effective.
September 15, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Healing Arts

PROPOSED AMENDMENT

20 CSR 2220-6.050
Administration of Vaccines [Per Protocol]
This proposed amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
September 15, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

EMERGENCY AMENDMENT

20 CSR 2220-6.050
Administration of Vaccines [Per Protocol]
This emergency amendment implements 2023 legislative revisions to section 338.010, RSMo, and establishes pharmacist immunization procedures under revised section 338.010.1(4), RSMo.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the time the emergency is effective. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the time the emergency is effective.
September 15, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2263-2.050
Application for Licensure as a Social Worker
This amendment updates language on when applicants may take the exam.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
August 1, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Social Workers

PROPOSED AMENDMENT

20 CSR 2263-2.082
Continuing Education
This amendment clarifies documentation requirements for self-study.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
August 1, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Social Workers

PROPOSED AMENDMENT

20 CSR 2263-2.030
Supervised Licensed Social Work Experience
This amendment clarifies group supervision.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
August 1, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Social Workers

PROPOSED RULE

20 CSR 2231-3.030
Community-Based Faculty Preceptor Tax Credit
This rule provides an income tax credit for qualified community-based faculty preceptors for physicians and physician assistants. This rule explains the Department of Health and Senior Services’ Preceptor Tax Credit eligibility and how the qualifying individual may claim the credit.

PUBLIC COST: This proposed rule is estimated to cost state agencies or political subdivisions at least two hundred sixteen thousand, one hundred twenty-five dollars ($216,125) in the first year period and two hundred twenty-seven thousand eight hundred eighty-two dollars ($227,882) to two hundred twenty-eight thousand one hundred twenty-four dollars ($228,124) annually thereafter.

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
July 17, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration

PROPOSED RESCISSION

20 CSR 2010-2.140
Granting of Credit for the Examination
This rule clarified the requirements for granting credit for the examination.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
July 3, 2023

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Accountancy

PROPOSED RULE

20 CSR 2010-2.140
Granting of Credit for the Examination
This rule clarifies the requirements for granting credit for the Uniform Certified Public Accountant (CPA) Examination.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
July 3, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Accountancy

PROPOSED AMENDMENT

20 CSR 2235-1.020
Fees
The rule is being amended to add a restoration of license fee and the word fee is being removed from each of the items listed due to redundancy.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate.

PRIVATE COST: This proposed amendment will save private entities approximately three hundred dollars ($300) to four hundred fifty dollars ($450) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
May 1, 2023

This proposed rule does have an adverse impact on small businesses.

Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-1.050
Renewal or Restoration of a License
This amendment outlines the requirements for restoration of a license that has been expired for (2) years or more.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
May 1, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2245-6.017
AQB 2018 Licensure Criteria
This amendment clarifies education requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Appraisers

PROPOSED AMENDMENT

20 CSR 2200-2.010
Approval
This amendment changes the submission deadlines.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-3.010
Approval
This amendment changes the submission deadlines.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-8.010
Approval
This amendment changes the submission deadlines.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-6.030
Intravenous Infusion Treatment Administration by Qualified Practical Nurses; Supervision by a Registered Professional Nurse
This amendment clarifies the duties of licensed practical nurses related to intravenous (IV) therapy.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-6.040
Venous Access and Intravenous Infusion Treatment Modalities Course Requirements
This amendment clarifies intravenous (IV) treatment modalities course requirements.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2200-6.060
Requirements for Intravenous Therapy Administration Certification
This amendment clarifies requirements for intravenous (IV) therapy.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Nursing

PROPOSED AMENDMENT

20 CSR 2220-2.400
Compounding Standards of Practice
This amendment updates rule language to reference compounded preparations, defines a commercially available product for purposes of compounding, and clarifies requirements for bulk drug substances for use in compounding human preparations.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 17, 2023

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED RULE

20 CSR 2220-2.410
Class B Hospital Pharmacy Compounding for Drug Shortages
This rule establishes requirements for Class B hospital pharmacies compounding medication in the event of a drug shortage.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
April 17, 2023

This proposed rule does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED AMENDMENT

20 CSR 500-1.100
The Director is amending this rule by adding two new subdivisions to subsection (3) (A) and by adding additional language to Exhibit A.
The purpose of this amendment is to provide contact information to insureds who receive a notice of cancellation, nonrenewal, reduction in amount or adverse modification.
PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
March 1, 2023 Register This proposed amendment does not have an adverse impact on small business. Insurance

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